| NPI | 1083927370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD E. MACK Owner 216-235-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH s761924) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |